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Retired NBME 22 Answers

nbme22/Block 4/Question#27 (reveal difficulty score)
A 78-year-old man comes to the physician ...
Metastatic carcinoma 🔍 / 📺 / 🌳 / 📖
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 +8  upvote downvote
submitted by notadoctor(175)
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astceattMi iaeseds is eomr mmocon anht ipyramr bone so.rumt

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lba9587  gihMt be hlpeluf to irecndso ge. fo a lugn tor.mu neo slioe?n royue’ alenign ulgn .irrpyma llpMeuit ssnlioe in nulg? MSE.T Q tmse heer dei,ncudl erusn“muo cytil ioslsen noalg hte altrvrebe nc.lu”om uTh,s METS. +
jurrutia  A,lso iapn taht is oewrs at hgtins dna sirstpse gesadrrsle fo .yitictav gPet 'sa is ypiyaltcl smatiymcpaot ut(alhhog naip si hte osmt coomnm psmm)tyo dna oluwd ehav oreht dignsnfi does(timerfi, AV tsu,hns ec)t. +
jurrutia  sloA, pnai htat is sorwe at gintsh adn espsrist rrslsgdeae fo vyicatti. tPas' eg si aipcllyty aytcamiosmpt houhta(gl aipn is het toms noommc )ysmmpto nad olwud aveh hetro sfinnigd (,iefteoismrd VA hs,nsut ec.t) +
umpalumpa  iadrseenc ALP si ewrd,i icrnsgodnei atth eht oslien is .ilct.y +1
l0ud_minority  upal@ampum I eearg ictly esilnso ot'nd kmea neess ihtw an levadtee LPA. ikeL an ditoi I hghuott oeatidsl PAL adn ehcos Pagte aiessDe +


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 +5  upvote downvote
submitted by j000(17)
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tilpelmu laeymom is eth most mmcoon YMPRRIA ngyncmiala fo onbe otp),ahma( os tsi' ont MM.

si't not egatp lck(a thoer S,x ouwdl aols evha eciortcsl iol)nsse

ymlots yiellk elanr ro ugln ceancr smatet ot the enbo

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 +4  upvote downvote
submitted by oznefu(22)
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’Im agivnh ortblue nrsdniungdate hyw sith si a rteteb oeihcc ahtn taePg ias,esde laeycpiesl thwi eht neadirecs PA?L

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zelderonmorningstar  agteP’s wudol sola wsho msoe ocs.seilrs +5
seagull  ALK is rsecdinea ni enob naokdwber oo.t ePrtatos lovse sngpdaire ot teh mlbaru eSinp. tsI' eikl caikcroencc-a for .acernc +32
aesalmon  I knhit the "oWrse at ig"thn dnlse litesf omer sworatd ,tesm dna eth tp eahdmprgcosi nael awosdrt attprose rcce,an chhiw sovel to go ot the marlbu nsiep aiv eth atnsoB e.xulps I kedcpi gtePa but i inthk htye wuodl evah geinv egtinmohs mreo itellng if ethy nweatd g,pesat yisothlog or eonathr ceul +2
fcambridge  eaglls@u nda sn,maeola I tihnk eur'oy a tib fof h.eer esoattrP tmes loudw eb ibcssteooal,t not yeosltitco as si eiedscbdr ni teh vntt.eeig +17
sup  aeYh I ohecs tsP'ega oot czb I eigufdr fi ti 'tsnwa pttaoesr acrnec chw(hi sa aecd@ibfrmg asid uwlod ntreesp /w tbsecsiooatl lsois)en eyht dolwu iveg us otnhera ergsnnetpi sx fo eth taetmctsai encrca lug(n, ,eanrl n)sik atht ihtgm ptnio su in hatt drcii.tone I tgo irdaesctdt by eth nadrcseei LAP oot dan lefl fro Pgate (: +1
kernicterusthefrog  gafcb@mie,dr tno cyet.xal seY, pertotas tems dntse ot be oabltcesso,it tub ubtoa %30 are uodfn to eb ict,yl rpe sith yus:dt /4/.cC.l7ictw.6w/npep:ltmhbMnc/wv8sgam./5oi2irnPsth/2 taillin,ddoyA teh itngh enob apisn oitnp to ,esmt nda tag'ePs si hcmu mroe ocnymmlo nudof ni het airnalc onseb nda nceplupadrai kotenle,s anth xia.al ishT uolcd sloa eb CRC !stem +
sweetmed  I yalmin ledur uot tpsega aeeucsb tyeh isad eth ilyhpsca xtoniineaam saw an.rlom eH odluw edf evah etrho ms.ypmtos +4
cathartic_medstu  moFr awth I eeerbmmr from hoseta:Mtasam iaPst ot bneo si yualsul tyolisteoc thiw nectpxoei to totasrp,e hhciw si oieaoebhtflereTss.crt, o tesm ayss UOERNSMU tiylc ssoenli dan snodus meor elki ma.sstiseta +5
medguru2295  If tihs si Matatciste cracen, ti is killye MM. MM drsasep ot eht lnsaip rcdo nad saeucs iyLct t sslioeIn. is ONT toeatrps as tasdet a.ebvo iWhle aamecrncionAod osde prdesa ot eth rsePa,ott it dusopcre noly IBCLAST se.inslo +

but prostate cancer is not lytic as blastic lesions

+5/- titanesxvi(106)

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 +1  upvote downvote
submitted by amphotericin(11)
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I reudl tou atg'Pes buecsae 'Pagest is uulysla aiocdllze, rep FA, Pa,omhat Bmp.B&a; ltogAhuh siht taiepnt ieilefdynt itfs the piaordchmeg rteui,pc ratsepto cecanr si eitdnlyfie ont hte lyno raecnc tath cna aeizttmases ot the .sobne seBceau stehe ear lctyi lsio,nse tsi' bprbylao semo throe anrcce sthat' rpsade to het nesbo

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medguru2295  iylPssbo tupeMill oe.lmyMa ahTt si slcacsi fro an oreld roenps tihw ackb aipn dan tlyic lisnsoe in teh .cabk +
asharm10  locitos-eyt ptlileum lmaemo,y -tlatsibeoOcs tPatseor; dnto thikn yebdno ihts orf isth xmea, i ehav vnree sene a oitqneus ni BEMN or lwudor ythe tierd ot loof su fof on iths ptnccoe os a.rf +2
euchromatin69  u owlrd 314 same pcteonc +
skuutnasty  Id' eilk to irteareet swt'ha tsdtae b.av.e.o xd NOT MM ni hsti uineosqt sabeeuc MM is YAPRMIR ont SACTTIAEMT @ nbeo sw(nare d:arse acstttaiem 3o i)&c;alncmatr +


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 +1  upvote downvote
submitted by imgdoc(183)
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asCancrhorodmo sorcuc ni eht ihp ro ixaal nseko.tel d'I maingei that it si ceapfiilcsly tlcaeod ni noe rgnieo ertahr thna iutplmel lsoensi gtuhtohruo teh ebtr.arev hTsat hwy I elurd isht to.u

I lrdue uot cortmasooeas dna wgien oamsarc eadsb on ega loena. Thsee tumrso rae esne ni 51-52 yare o,sld adn eth lnicical tssanioeanfimt tno'd mtcha up.

P'gseta deesasi sah na alvedtee kneaAlil teappshhosa le,vel btu hetre duwlo eldnfteiiy be a srcoeiltc ehasp fo neob ponitdoei,s tarrhe atnh elmilptu oltecyiots lnsis.oe eid,sBes on a clnaicli teevtgni tyeh udowl tlka uobat aerninlgg dhae is,ez CN 8 tpmiegnen,mi rrucesfa,t cet. evEn fi oyu idd go ihts uert,o pts'age sadisee caeuss osaec,ootsmar ont ieutllpm iclyt .iselons

hsiT ftel em iwht etiamtcsat canoci.rma

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imgdoc  I olhytsen uhtohtg siht wsa mpiteull lmemayo rfeobe I etnw the itesactatm cnraiaomc rtoeu lol +


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 +0  upvote downvote
submitted by paperbackwriter(161)
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I also ohcse Pagte /: tbu eedrzial hsit ihwhc I itdn'd ofre:be

eTh taessg rea ton onmuifr csoras eifnertdf b,nose os you dluco evah moes senbo that rea in het aectsosiltob gae,st lwihe shrteo ear ni eth tilyc easgt e.tc

oem0h.mcpoeu0cob/ts2/ttc/nt2ob.p'arsl/poags80i%%se0jeang4igl

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